Causes

Treatment

Apply ice to the area for 15-20 minutes every few hours. Do this for the first 1-5 days. Ice can also be used as an effective pain relief after this time.

Apply heat after the first 3-5days

Gentle movements and changing your position every 15-20 minutes

Physiotherapy

GP for pain medications

Pilates after pain has resolved to prevent future episode

Surgery in more extreme and rare cases

*if you have loss of sensation around your genitals to your buttock and (/or) experience loss of bladder or bowel control you must call 999 to seek immediate medical attention. This could indicate a condition called cauda equina.

Things to avoid

Prolonged postures

Bed rest (maximum 24-48 hours bed rest in very acute painful cases)

Strength training as the pain will inhibit your core muscles and decrease muscle support (this can resume gradually after you have been pain free for 3 days or more)